INTERNATIONAL STUDENT
 ADMISSIONS APPLICATION		  
I hereby apply for admission to Columbia College for the
FALL (  )  SPRING (  )  Semester or SUMMER (  ) Session
  Signature: ________________ Date:_____________  
I certify that all the information on this application is accurate and complete, and I realize that false or incomplete information may result in not being admitted or being disqualified after admission.
   

APPLICATION DEADLINES
SUMMER:  January 1st FALL:  April 1st SPRING:  October 1st
     
I.  PERSONAL INFORMATION:   
  v  NAME:    
 
  Family Name                               First Name                                    Middle Initial
   
  v      (  )  Female     (  ) Male    (  ) Single    (  ) Married
   
  v  DATE OF BIRTH: 
COUNTRY OF ORIGIN:
   
  v  CURRENT MAILING ADDRESS: 
   
  v        CURRENT PERMANENT ADDRESS:
 
   
v  PHONE #
 E-MAIL
   
II. EDUCATIONAL INFORMATION - SCHOOL NAME, ATTENDANCE & GRADUATION DATES:
  List all secondary schools, colleges, university or technical schools attended in chronological order. 
If additional pages are necessary, please feel free to attach them to this documentation.
 
 
 
III. EMPLOYMENT RECORD - Please attach a résumé if applicable
 
 
 
   
IV.  PERSONAL GOAL STATEMENT  in 200 words or less
  On a separate sheet of paper, please write a statement in English describing your interest in Columbia College and your educational goals.  Please specify your chosen major or field of study and why it is important to you.
    SIGNATURE: